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    Arm circumference: Its importance for dialysis patients in the obesity era
    (2013) Akpolat T.; Kaya C.; Utaş C.; Arinsoy T.; Taşkapan H.; Erdem E.; Yilmaz M.E.; Ataman R.; Bozfakioglu S.; Özener C.; Karayaylali I.; Kazancioglu R.; Çamsari T.; Yavuz M.; Ersoy F.; Duman S.; Ateş K.
    Purpose: The purposes of this study were to investigate the association between arm circumference and body mass index (BMI) and to discuss problems, mainly arm circumference and cuff size mismatch, that could affect the reliability of home blood pressure monitoring (HBPM) among peritoneal dialysis (PD) and hemodialysis (HD) patients. Methods: 525 PD and 502 HD patients from 16 centers were included in the study. A two-part questionnaire was used to gather information from the participants. Arm circumferences were categorized into four groups according to the British Hypertension Society cuff size recommendations. Results: Mean BMI and arm circumference of all participants were 25.0 kg/m2 and 27.6 cm, respectively. There was a significant correlation between BMI and arm circumference. The mean BMI and arm circumference values were higher in PD patients than in HD patients. Requirement of a large-sized adult cuff was more common among PD patients compared to HD patients (14 % vs 8 %, p = 0.002). Conclusions: Since HBPM is a useful tool for clinicians to improve BP control, nephrologists should be aware of the problems related to HBPM in dialysis patients and take an active role to increase the reliability of HBPM. © 2012 Springer Science+Business Media, B.V.
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    Body pain during daily activities in patients on peritoneal dialysis
    (2005) Taskapan H.; Ersoy F.F.; Passadakis P.; Tam P.; Memmos D.; Katopodis K.; Özener Ç.; Akçiçek F.; Çamsari T.; Ates K.; Ataman R.; Vlachojannis J.G.; Dombros N.; Utas C.; Akpolat T.; Bozfakioglu S.; Wu G.G.; Karayaylali I.; Arinsoy T.; Stathakis Ch.; Yavuz M.; Tsakiris D.; Dimitriades A.; Yilmaz M.E.; Gültekin M.; Polat N.; Oreopoulos D.G.
    Objective. To review the prevalence of body pain during daily activities in patients on peritoneal dialysis (PD) and to correlate it with various demographic and renal osteodystrophy markers such as calcium (Ca), phosphorus (P), intact parathyroid hormone (iPTH), and vitamin D 3 levels. Methods. A cross-sectional study was conducted involving 530 chronic PD patients (44.3% female, 55.6% male) from 24 centers in Canada, Greece, and Turkey. Pain severity scoring during daily activities was performed using the pain scoring table of the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). Results. The overall prevalence of pain was 52.9% (61.3% in females and 49.5% in males, p < 0.05). Morning stiffness was reported by 23.6% of the patients, and diminished range of movement by 20%. The mean age, weight, and body mass index were higher in patients with pain than in those without (p < 0.05). There was no statistically significant difference between patients with pain and those without pain with respect to their mean serum iPTH, Ca, P, Ca x P, ionized Ca, or bone alkaline phosphatase levels (p > 0.05). Mean serum 25-hydroxyvitamin D 3 [25(OH)D 3] levels were lower in patients with pain compared to those without pain (p < 0.05). Conclusions. A high percentage of the PD patients (53%) had body pain; iPTH levels and other biochemical parameters of renal osteodystrophy were not different between those with and without pain. Patients with pain had lower 25(OH)D 3 levels than did those without. Factors such as age, gender, obesity, and metabolic factors may interact to cause varying degrees of articular/bone pain in patients on PD. Since vitamin D deficiency aggravates the signs and symptoms of joint disease such as pain and stiffness, one should attempt to correct levels of 25(OH)D 3, as well as 1,25(OH) 2D 3 levels, in these patients.
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    Comparison of hospitalization and survival between patients treated with renal replacement therapy
    (2011) Meral M.; Çelik A.; Güngör O.; Sifil A.; Çavdar C.; Çamsari T.
    AIM: Renal replacement therapy (RRT) prolongs survival in patients with end-stage-renal-disease (ESRD). We compared patient survival, number and duration of hospitalization in patients treated with RRT in this study. MATERIAL and METHODS: Two hundred and eighty seven patients (87 hemodialysis (HD), 97 peritoneal dialysis (PD), 103 renal transplant (RT) patients) were enrolled in this study. Patients' data were collected retrospectively from hospital records. RESULTS: HD patients were older and had more comorbid diseases compared to PD and RT patients. Mortality rates were not different between the modalitites. The number and duration of hospitalization episodes were significantly lower in the PD group than that of the other two groups. Survival rates of HD patients were 84%, 55% and 30% for the 1 st, 5 th and 10 th years, respectively while these rates were 93%, 81% and 59% for PD and 95%, 81% and 77% for RT patients. CONCLUSION: PD and RT patients were younger than HD patients and had less comorbid diseases. As a result, the number and duration of hospitalization episodes were significantly lower in the PD group when compared to the others. Survival rates in the RT group were better than that of the HD and PD groups.